Chapter

06 Family Planning
Chapter - 06

6.1 INTRODUCTION up to Primary Health Centres (PHCs) and Sub

Centres(SCs) in rural areas as well as the Urban
India was the first country in the world to launch a Family Welfare Centres and Postpartum Centres in
National Programme for Family Planning in 1952. urban areas. There is also extensive engagement of the
Following its historic initiation, the Family Planning community health workers (ASHA) who distribute
program has undergone many transformations in contraceptives and pregnancy testing kits to desirous
terms of policy and actual program implementation. beneficiaries at their doorsteps.
Post International Conference on Population and
Development (ICPD) 1994 held in Cairo, there was Technological advances and enhanced quality of
a de-emphasis on Family Planning globally with the services have also resulted in a rapid fall in the Crude
donors substantially reducing the funding for Family Birth Rate (CBR), Total Fertility Rate (TFR) and
Planning (FP) programmes. However subsequently it growth rate. (2011 Census showed the steepest decline
was realized that without increasing use and access in the decadal growth rate)
to contraceptives, it would be difficult to impact the
high maternal, infant and child mortality. Thereafter
a gradual shift occurred from clinical approach to
the reproductive child health approach. The National
Population Policy (NPP) in 2000 brought about a
holistic and a target free approach which accelerated
the reduction of fertility.
Over the years, the program has expanded to reach
every nook and corner of the country and is available
Trend of TFR and CBR

Population increase and growth rate

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Chapter - 06

The objectives, strategies and activities of the Family
Planning Division are designed towards achieving
the family welfare goals and objectives stated in
various policy documents (NPP: National Population
Policy 2000, NHP: National Health Policy 2002, and
NRHM: National Rural Health Mission) as well as
to honour the commitments of the Government of
India (including ICPD: International Conference on
Population and Development, MDG: Millennium
Development Goals, Sustainable Development Goals-
SDG, FP2020 Summit and others).

I. Some facts on Family Planning and related matters

15.7 % expected increase of
population in fifteen years
Decline in TFR
Greater investments in family
planning
Government of India’s
commitment
• From 1210 million in 2011 to 1400 million in 2026.
Population Projection Report, 2006.
• Helps to stabilize India’s population growth which in turn spurs the
economic and social progress
• Helps to mitigate the impact of high population growth by helping
women achieve desired family size and avoid unintended and
mistimed pregnancies
• Reduce maternal mortality by 25-35%
• Reduce infant mortality and abortions significantly
• Maternal Mortality Ratio (MMR) to 100/100,000 live births
• Infant Mortality Rate (IMR) to 30/1000 live births
• Total Fertility Rate (TFR) to 2.1 by 2017 as per 12th Five Year Plan

II. Factors that influence Population Growth

Unmet need of Family Planning • 12.9% as per NFHS-4 (2015-16)

Age at Marriage and first childbirth • 26.8% of the girls get married below the age of 18 years as per
NFHS (2015-2016)
• Out of the total births, 10.7% are among teenagers i.e. 15-19 years
(SRS 2016)
Spacing between Births: • Spacing between two childbirths is less than the recommended
period of 3 years in 48.1% of births (SRS 2016)
15-24 age group • 36.5% contribution in total fertility (SRS 2016)
(women)
• 41% contribution in maternal mortality (SRS 2011-13)

III. Current Demographic Scenario in the Country (CENSUS 2011)

2.4% of world’s land mass • 17.5% of the world's population

1.21 billion • India’s population as per Census-2011
• Equal to the combined population of U.S.A., Indonesia, Brazil,
Pakistan, Bangladesh and Japan put together (1214.3 million).
200 million • Population of Uttar Pradesh - more than the population of Brazil

86 Annual Report | 2017-2018

 Chapter - 06

Ratio of Growth of Population in India: IV. Progress in TFR:

TFR Data
Census Population Decadal Average Source
Year (In Crores) Growth (%) Annual
Exponential TFR decline • From 2.9 in 2005 to 2.3 in
Growth (%) 2016

1971 54.82 24.80 2.20 • Decline more significant in

1981 68.33 24.66 2.22
1991 84.64 23.87 2.16
2001 102.87 21.54 1.97
2011 121.02 17.64 1.64
Perceptible decline • Maternal Mortality ratio – 556
(in last 5 in 1990 to 167 in 2011-13
decades)
• Crude birth rate – 40.8 per 1000
in 1951 to 20.4 in 2016.
• Infant mortality rate – from 146
in 1951-61 to 34 in 2016.
• Total Fertility rate – from 6.0 in
1951 to 2.3 in 2016
• Steepest decline in growth rate
between 2001 and 2011 from
21.54% to 17.64%.
• Decline in 0-6 population by
3.08% compared to 2001
Population added • Lesser than the previous decade,
18.14 crores added during 2001-
2011 compared to 18.23 crores
during 1991-2011.
Significant decline • There is a 4.1 percentage point
fall from 24.99% in 2001 to
20.92% in 2011 in the growth
rate of population in the EAG
States
(U.P, Bihar, Jharkhand, M.P,
Chhattisgarh, Rajasthan, Orissa
and Uttaranchal) after decades
of stagnation.
• The Birth rate has declined from
23.8 in 2005 to the current 20.4
in 2016.
High Focus States.
TFR of 2.1 or • 24 States and Union
less Territories – Sikkim-1.2,
Andaman and Nicobar-1.5,
Chandigarh-1.6, Delhi-1.6,
Tamil Nadu-1.6, West
Bengal-1.6, Andhra
Pradesh-1.7, Daman and
Diu-1.7, Goa-1.7, Himachal SRS
Pradesh-1.7, Jammu and 2016
Kashmir-1.7, Puducherry-1.7, and
Punjab-1.7, Telangana-1.7, NFHS
Tripura-1.7, Karnataka-1.8, IV
Kerala-1.8, Lakshadweep-1.8,
Maharashtra-1.8,
Uttrakhand-1.9, Odisha-2.0,
Gujarat-2.0, Haryana-2.1,
Arunachal Pradesh 2.1
TFR 2.2-3.0 • 9 States and Union Territories
– Assam-2.3, Dadra & Nagar
Haveli-2.3, Mizoram-2.3,
Chhattisgarh-2.5,
Jharkhand-2.6, Manipur-2.6,
Rajasthan-2.7, Nagaland-2.7,
Madhya Pradesh-2.8
TFR more than • 3 States - Bihar-3.3,
or equal to 3.0 Uttar Pradesh-3.1 and
Meghalaya-3.0
Impact of High Focus Approach of the Government
of India
Government of India has categorized States as per the
TFR level into very high-focus (more than or equal to
3.0), high-focus (more than 2.1 and less than 3.0) and
non-high focus (less than or equal to 2.1) categories.
There are three States in the very high focus category
- Bihar, Uttar Pradesh and Meghalaya. As per recent
SRS figures, Bihar has shown an increase by 0.1 point
from 2015 to 2016 while, the TFR in Uttar Pradesh
has remained constant. Meghalaya on the other hand
(not covered under SRS) shows a 0.8 point decline
from NFHS III (2005-06) to NFHS IV (2015-16).

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Chapter - 06

Category State SRS 2015 SRS 2016

Very High Focus States for FP Bihar 3.2 3.3
Uttar Pradesh 3.1 3.1
High Focus States for FP Meghalaya 3.8* 3.0#
Madhya Pradesh 2.8 2.8
Nagaland 3.7* 2.7#
Rajasthan 2.7 2.7
Manipur 2.8* 2.6#
Jharkhand 2.7 2.6
Chhattisgarh 2.5 2.5
Mizoram 2.9* 2.3#
Dadar & Nagar Haveli - 2.3#
Assam 2.3 2.3

Source: *NFHS III and #NFHS IV

6.2 CURRENT FAMILY PLANNING A. Injectable Contraceptive MPA under the

EFFORTS
Family planning has undergone a paradigm shift and
emerged as a key intervention to reduce maternal and
infant mortalities and morbidities. It is well-established
that the States with high contraceptive prevalence rate
have lower maternal and infant mortalities.
Greater investments in family planning can thus
help mitigate the impact of high population growth
by helping women achieve desired family size and
avoid unintended and mistimed pregnancies. Further,
contraceptive use can prevent recourse to induce
abortion and eliminate most of these deaths.
6.2.1 Contraceptive services under the National
Family Welfare Program
The methods available currently in India can be
broadly divided into two categories, spacing methods
and permanent methods. An additional method
available is the emergency contraceptive pill which is
to be used in cases of emergency.
‘Antara’ programme – which has been recently
introduced in the current basket of choices.
B. Oral contraceptive pills (OCP)
• These are hormonal pills which have to be
taken daily by a woman, preferably at a fixed
time. The strip also contains additional iron
pills to be consumed during the hormonal pill
free days. The method may be used by majority
of women after screening by a trained provider.
• At present, there is a scheme for delivery of
OCPs at the doorstep of beneficiaries by ASHA
with a minimal charge. The brand “MALA-N”
is available free of cost at all public healthcare
facilities.
• Centchroman “Chhaya”- The once a week
non-steroidal oral pill has also been recently
introduced in the current basket of choices.  
C. Condoms

6.2.2 Spacing Methods- these are the reversible • These are barrier methods of contraception
methods of contraception to be used by couples who which offer the dual protection of preventing
wish to have children in future. These include: unwanted pregnancies as well as transmission
of RTI/STI including HIV. The brand “Nirodh”

88 Annual Report | 2017-2018


is available free of cost at government health
facilities and supplied at doorstep by ASHAs at
minimal cost.
D. Intra-Uterine Contraceptive Devices (IUCD)
• Copper containing IUCDs are a highly effective
method for long term birth spacing.
• Should not be used by women with uterine
anomalies or women with active PID or those
who are at increased risk of STI/RTI (women
with multiple partners).
• The acceptor needs to return for follow up visit
after 1, 3 and 6 months of IUCD insertion as the
expulsion rate is highest in this duration.
• Two types:
o Cu IUCD 380A (10 yrs)
o Cu IUCD 375 (5 yrs)
• New approach of method delivery- postpartum
IUCD (PPIUCD) insertion by specially trained
providers to tap the opportunities offered by
institutional deliveries.
• Post Abortion IUCD (PAIUCD) – Repeated
unintended pregnancies and unwanted births or
abortions contributes to increase morbidity and
mortality among mothers and newborns. The
provision of effective post abortion services
helps in decreasing maternal morbidities by
averting unwanted pregnancies.
6.2.3 Permanent Methods- these methods may
be adopted by any member of the couple and are
generally considered irreversible.
A. Female Sterilisation
• There are two techniques:
o Minilap - Minilaparotomy involves making a
small incision in the abdomen. The fallopian
tubes are brought to the incision to be cut
or blocked. Can be performed by a trained
MBBS doctor.
o Laparoscopic - Laparoscopy involves
Chapter - 06
inserting a long thin tube with a lens in it into
the abdomen through a small incision. This
laparoscope enables the doctor to see and block
or cut the fallopian tubes in the abdomen. Can
be done only by trained and certified MBBS
doctor or specialist.
o Post Abortion Sterilisation - This refers to the
sterilization done within 7 days of a complete
abortion. 
B. Male Sterilisation
• Through a puncture or small incision in the
scrotum, the provider locates each of the 2 tubes
that carries sperm to the penis (vas deferens) and
cuts or blocks it by cutting and tying it closed
or by applying heat or electricity (cautery).
The procedure is performed by MBBS doctors
trained in these. However, the couple needs
to use an alternative method of contraception
for first three months after sterilization till no
sperms are detected in semen.
• Two techniques being used in India:
¾¾ Conventional
¾¾ on- scalpel vasectomy – no incision,
N
only puncture and hence no stiches.
6.2.4 Emergency Contraceptive Pill
• To be consumed in cases of emergency arising
out of unplanned/unprotected intercourse.
• The pill should be consumed within 72 hours of
the sexual act and should never be considered a
replacement for a regular contraceptive.
6.2.5 Other Commodities - Pregnancy testing kits
• Helps to detect pregnancy as early as one
week after the missed period, thus proving
an early opportunity for medical termination
of pregnancy, thus saving lives lost to unsafe
abortions.
• These are available at the sub Centre level and
also carried by ASHA.
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Chapter - 06

6.2.6 Service Delivery Points • Permanent methods are generally available at

• All the spacing methods, viz. IUCDs, OCPs
and condoms are available at the public health
facilities beginning from the Sub-Centre level.
Additionally, OCPs condoms, and emergency
contraceptive pills (since are not skill based
services) are available at the village level also
through trained ASHAs.
Primary Health Centre level or above. They
are provided by MBBS doctors who have been
trained to provide these services. Laparoscopic
sterilization is being offered at CHCs and above
level by a specialist gynecologist/surgeon only.
• These services are provided to around 20 crores
eligible couples. Details of services provided at
different levels of facilities are as follows:

Family Planning Method Service Provider Service Location

LIMITING METHODS

Minilap Trained & certified MBBS doctors & PHC & higher levels
Specialist Doctors

Laparoscopic Sterilization Trained & certified MBBS doctors & Usually CHC & higher levels
Specialist Doctors

NSV(No Scalpel Vasectomy) Trained & certified MBBS doctors & PHC & higher levels
Specialist Doctors

SPACING METHODS

Interval IUCD Trained & certified ANMs, LHVs, Sub Centre & higher levels
SNs and doctors

Post-Partum IUCD Trained & certified nurses and Currently PHC and higher
doctors levels (Delivery Points)

Oral Contraceptive Pills (OCPs) Trained ASHAs, ANMs, LHVs, SNs Village level
and doctors Sub Centre & higher levels

Condoms Trained ASHAs, ANMs, LHVs, SNs Village level

and doctors Sub Centre & higher levels

Injectable Contraceptive MPA Trained doctors, SNs, LHVs an d Medical Colleges and District
ANMs Hospital (In MPV districts at
all levels up to Sub-Centre)

EMERGENCY CONTRACEPTION

Emergency Contraceptive Pills Trained ASHAs, ANMs, LHVs, SNs Village level
(ECPs) and doctors Sub Centre & higher levels

Note: Contraceptives like OCPs, Condoms are also provided through Social Marketing Organizations.

90 Annual Report | 2017-2018


6.3 SALIENT FEATURES OF THE FAMILY
PLANNING PROGRAMME
A. On-going interventions
• More emphasis on Spacing methods like
PPIUCD and IUCD.
• Availability of Fixed Day Static Services at all
facilities.
• Emphasis on Minilap tubectomy services
because of its logistical simplicity and
associated with less failure and complication
rates.
• A rational human resource development plan
is in place for provision of IUCD, Minilap
and NSV to empower the facilities (DH, CHC,
PHC, SHC) with at least one provider each
for each of the services and Sub Centres with
ANMs trained in IUD insertion.
• Ensuring quality care in Family Planning
services by establishing Quality Assurance
Committees at State and district levels.
• Accreditation of more private/ NGO facilities to
increase the provider base for family planning
services under PPP.
• Increasing male participation and promoting
Non- scalpel Vasectomy.
• Compensation scheme for sterilization
acceptors - under the scheme MoHFW
provides compensation for loss of wages to
the beneficiary and also to the service provider
(& team) for conducting sterilizations. The
compensation scheme has been enhanced in 11
high focus States from the year 2014.
• ‘National Family Planning Indemnity Scheme’
under which clients are indemnified in the
eventualities of deaths, complications and
failures following sterilization. The providers/
accredited institutions are indemnified against
litigations in those eventualities.
• PPIUCD Incentive for service providers and
ASHAs.
• MoHFW has introduced short term IUCD (5
Chapter - 06
years’ effectivity), Cu IUCD 375 under the
National Family Planning Programme.
• A new method of IUCD insertion (post-partum
IUCD insertion) has been introduced by the
Government. The current emphasis is on
provision of PPIUCD services.
• Promoting Post-partum Family Planning
services at district hospitals by providing
for placement of dedicated Family Planning
Counsellors and training of personnel.
• Home Delivery of Contraceptives (HDC):
¾¾ The scheme was launched to utilize
the services of ASHA to deliver
contraceptives at the doorstep of
beneficiaries. The scheme is operational
in the entire country.
¾¾ ASHA is charging a nominal amount
from beneficiaries for her effort to deliver
contraceptives at doorstep i.e. Re 1 for a
pack of 3 condoms, Re 1 for a cycle of
OCPs and Rs 2 for a pack of one tablet
of ECP.
• Ensuring Spacing at Birth (ESB):
¾¾ Under this scheme, the services of
ASHAs are utilized for counselling
newly married couples to ensure spacing
of 2 years after marriage and couples
with 1 child to have spacing of 3 years
after the birth of 1st child. The scheme
is operational in 18 States (EAG, North
Eastern and Gujarat and Haryana).
ASHA are paid the following incentives
under the scheme:
¾¾ Rs. 500/- to ASHA for delaying first child
birth by 2 years after marriage.
¾¾ Rs. 500/- to ASHA for ensuring spacing
of 3 years after the birth of 1st child
¾¾ Rs. 1000/- in case the couple opts for
a permanent limiting method up to 2
children only
• The spacing component of the scheme has been
extended in a few other States where spacing
is low - Karnataka, West Bengal, Maharashtra,
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Chapter - 06

Andhra Pradesh, Punjab, Telangana and Daman under the Mission Parivar Vikas which
& Diu. Dadra & Nagar Haveli also initiated comprises of:
the implementation of the ESB scheme (both
a. Delivering assured services
spacing and limiting components).
b. Building additional capacity/Human
• Pregnancy Testing Kits: resource development for enhanced
service delivery
¾¾ Nishchay - Home based Pregnancy Test
Kits (PTKs) was launched under NRHM c. Ensuring commodity security
in 2008 across the country and anchored
d. Implementing new ‘promotional
with the Family Planning Division on
schemes’
24th January, 2012.
e. Creating an enabling environment
¾¾ The PTKs have been made available at
Sub Centers and to the ASHAs. • Expansion of Basket of Choice - The current
basket of FP choices has been expanded to
¾¾ The PTKs facilitate the early detection include new contraceptives namely Injectable
and decision making for the outcomes of MPA under Antara Programme, POP and
pregnancy. Centchroman (Chhaya).
• Improving contraceptives supply management
up to peripheral facilities.
• Demand generation activities in the form of
display of posters, billboards and other audio
and video materials in the various facilities.
• To improve quality of services rendered, State
and divisional level Family Planning reviews
along with monitoring and comprehensive
supportive supervision visits were undertaken.
• Strong political will and advocacy at the highest
level, especially in States with high fertility
rates.
• Family Planning Logistics Information
6.4 NEW INTERVENTIONS TO IMPROVE
System (FP-LMIS): The FP-LMIS has
ACCESS TO CONTRACEPTION
been launched to manage the distribution of
• Mission Parivar Vikas - The Government contraceptives and strengthen the supply-chain
has conceived Mission Parivar Vikas management system. It will serve as a decision-
for substantially increasing the access to making tool for policy makers, programme
contraceptives and family planning services in managers and logistics personnel to monitor
the high fertility districts of seven high focus and manage the flow of contraceptive supplies,
States with TFR of 3 and above. These 146 in order to reduce stock-outs and overstocks,
districts are from the seven high focus, High and improve the programme’s effectiveness
TFR States (Uttar Pradesh, Bihar, Rajasthan, and contraceptive security. The national
Madhya Pradesh, Chhattisgarh, Jharkhand and trainings for the key stakeholders have been
Assam) which constitutes 44% of the country’s completed and the State and district trainings
population. are underway. The ground stock entry for State
warehouses and Government Medical Store
A five pronged strategy has been developed Depots has been completed.

92 Annual Report | 2017-2018


• Clinical Outreach Team (COT) Scheme: One
of the main reasons for high fertility in the MPV
districts is the scarcity of providers in public
health facilities and a dearth of private sector
facilities for provision of Family Planning
services. In order to address this issue, the States
have been engaging Clinical Outreach Teams
(COT) comprising a mobile team of trained
health care personnel and equipment, engaged
through private accredited organizations/
NGOs, providing sterilization services in far-
flung and underserved areas. In order to sustain
the provision of the quality Family Planning
services through the mechanism of COT,
the Government has carved out an extension
from the existing ‘Compensation Scheme in
State Fact Sheets released by Hon. Health Minister Shri J.P. Nadda on World Population Day held on 11th July, 2017 at
New Delhi in the presence of Hon. MoS Smt. Anupriya Patel AS&DG Dr. R.K. Vats JS Smt. Gurnani and EA Smt. P. Nath
• Multi media campaign
¾¾ Television Spots/TVC: Four television
spots on various themes were finalized
and developed. The same is being
telecast on National Television and the
audio versions of the spots are also being
broadcasted on All India Radio and its
primary channels.
Chapter - 06
Sterilisation’, for Clinical Outreach Teams
(COT) operated by accredited organizations in
the 146 MPV districts.
• Media Campaign Phase 2: The second
phase of the 360 degree media campaign was
launched by the Hon’ble HFM, Shri J. P. Nadda
at the celebration of the World Population Day
2017 in July 2017. A multimedia campaign was
designed with the objective of reaching out to
people of all age groups, regions and strata of
the society to bring about a positive change in
the use of contraception and shatter the myths
around it. The media campaign was set out in 3
different mediums.
The TVC’s were based on the following themes:
o Mardangi and Involvement of
Men: Responsibility of men in family
planning is the true sign of masculinity
and the importance of promoting male
engagement in family planning.
Annual Report | 2017-2018 93
Chapter - 06

o Daadi: Dispelling old notions and aims to mitigate the social pressures faced by newlyweds from elders
and family members on bearing children immediately after marriage

94 Annual Report | 2017-2018

 Chapter - 06

o Sangeet/Asha didi: Introduction of new contraceptive injection MPA as an effective method of

contraception for the newlyweds

o Involvement of Men: Promoting Involvement of man in family planning and preparing men to be ideal
grooms & husbands
¾¾ Posters and Hoardings: A series of posters and hoardings were launched. The messages portrayed in these
posters focused on the new contraceptive, involvement of men and family in family planning, spacing
between children and delay in first child.

¾¾ WhatsApp messages: Video messages recorded by celebrities - Mr. Ravi Kishen and Ms. Mahi Gill -
promoting new contraceptives and role of men in family planning were developed. These messages will
be disseminated through the medium of WhatsApp.
¾¾ Radio Chat Show: “HUM DO” – a 52 week long show hosted by a couple RJ, air every Sunday, from 10
am to 10.30 am, on FM Rainbow and its primary channels. Each episode covers a topic relevant to Family

Annual Report | 2017-2018 95

Chapter - 06
Planning in the context of a newly married
couple who discuss their journey and experiences
while embarking upon the use of contraceptives
methods. It is an interactive show where listeners
can call-in or message their queries. Additionally,
the 1st Sunday of every month is dedicated to a
National Expert appearing on the show who
further enlightens the listeners on the wide array
of FP choices as well as respond to individual
queries of callers.
¾¾ Website: A dedicated website for Family
Planning Division has been developed www.
humdo.nhp.gov.in. The website is one stop
solution for anybody wanting to access accurate
96 Annual Report | 2017-2018
information on family planning. It showcases all
the current programmatic updates in a simple,
consumer friendly manner. In a short period of
3 months, it has already garnered approximately
29,000 hits proving its popularity.
¾¾ Dedicated Call Centre: A toll free helpline
number 1800 116 555 has been set up for young
and married couples to call and find out about
information on family planning and address
queries. There has been a substantial increase
in the number of callers from 200 to around
1500 per day seeking information about various
aspects of family planning.

• The Social Franchising Scheme for involving
the private sector in providing quality FP
services will be implemented in the States of
Uttar Pradesh and Bihar.  “Alternative Training Methodology in IUCD” using
6.5 PROGRESS MADE UNDER
PLANNING PROGRAMME
Service Delivery
The performance of family planning services (in
lakhs) over the last three years till date is provided
below.
26.1
IUCD
19.6
Sterilisation 39.3
40.69
0 10 20 30 40
2017-18 (Upto December) 2016-17
• Against the backdrop of a continuously falling
birth rate and total fertility rate, the performance
in IUCD and sterilisation has been maintained.
• Considering the current efforts to focus on
spacing, it is expected that IUCD performance,
especially PPIUCD, would increase in near
future.
• State wise sterilization and IUCD achievements
is provided at Annexure-1.
6.5.1 Promotion of IUCDs as a short & long
term spacing method
In 2006, Government of India launched “Repositioning
IUCD in National Family Welfare Program” with an
objective to improve the method mix in contraceptive
services and has adopted diverse strategies including
advocacy of IUCD at various levels; community
mobilization for IUCD; capacity building of public
health system staff starting from ANMs to provide
quality IUCD services and intensive IEC activities
to dispel myths about IUCD. Currently, increased
emphasis is given to promotion of IUCD insertion
Chapter - 06
as a key spacing method under Family Planning
Programme.
anatomical, simulator pelvic models incorporating
FAMILY adult learning principles and humanistic training
technique was started in September, 2007 to train
service providers in provision of quality IUCD
services. A comprehensive review of IUCD training
manual has also been undertaken to strengthen the
IUCD service delivery. 
6.5.2 Increasing provider base for IUCD
(Multitasking: Through AYUSH
Practitioners)
o In a policy change, the government allowed
59.71
55.4 AYUSH doctors (except Yoga and Naturopathy
practitioners) to perform IUCD insertions at
public health facilities after a short refresher
course/training.
6.5.3 Onsite training for IUCD services
50 60 70
2015-16 • Jhpiego, Engender Health and IPAS have been
engaged for onsite training for IUCD services
in all the high focus States as well as those
States where spacing is an issue.
• To track the progress of training and for better
post training follow up an IUCD tracking
software has been designed and is operational
now.
6.5.4 Emphasis on Postpartum Family Planning
(PPFP) services
• In order to capitalize on the opportunity
provided by increased institutional deliveries,
the Government of India is focusing on
strengthening post-partum FP services.
• PPFP services are not being offered uniformly
at all levels of health system across different
States of India resulting in missed opportunities.
• Insertion of IUCD during the post partum
period, known as Postpartum Intrauterine
Contraceptive Device (PPIUCD), is being
focused upon to address the high unmet need of
spacing during postpartum period.
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Chapter - 06

6.5.5 Actions taken and achievements ¾¾ Other family planning methods such as
• Strengthening Post-Partum IUCD (PPIUCD) condoms, pills etc.
services at high case load facilities: ¾¾ Ensuring healthy timing and spacing of
pregnancy
o Currently the focus is on placement of
trained providers for PPIUCD insertion ¾¾ Mother & baby care
at district and sub-district hospital level ¾¾ Early initiation of breast feeding
only, considering the high institutional
delivery load at these facilities. ¾¾ Immunization
¾¾ Child nutrition
800000

700000
6.5.6 Assured delivery of family planning
600000
services:
500000

400000
Fixed Day Services (FDS) for IUCD Insertion: States
300000
are facilitated to ensure fixed days IUCD insertion
200000 services at the level of SC and PHC (at least 2 days
in a week).
670505

575180

528003

452238

369635

356639

289660

172723

164988

156293

132170

112613

100000

0
Fixed Day Static Services in Sterilisation at facility
level:
• Operationalization of FDS has following
Top performing states as per total PPIUCD insertions objectives:
(in lakhs)
− To make a conscious shift from camp
• Total 44,07,982 PPIUCDs have been inserted approach to regular routine services.
all across the country since the initiation of the − To make health facilities self sufficient in
PPIUCD programme. provision of sterilization services.
o The performance has been steadily − To enable clients to avail sterilization
increasing with 6, 64,359 PPIUCD services on any given day at their
insertions in 2014-15 followed by designated health facility.
10,65,433 insertions in 2015-16 (increase
by 60% from 2014-15) and 16,90,155 FDS Guidelines for sterilization services
insertions in 2016-17 (increase by 59% Health Facility Minimum frequency
from 2015-16).
District Hospital Twice a week
o In 2017-18, up till December, there have
been 13,48,052 PPIUCD insertions Sub District Hospital Weekly
CHC / Block PHC Fortnightly
• Appointing dedicated counsellors at high
case load facilities: 24×7 PHC / PHC Monthly

o RMNCH+A counsellors are being Note: Those facilities providing more frequent services
appointed at all high case load facilities already must continue to do so.
to provide counselling services in
following areas: 6.5.7 Phasing out Camps – As per the Hon’ble
Supreme Court guidelines, traditional camp approach
¾¾ Post-partum Family Planning (IUCD and for sterilization services will be phased out over the
Sterilisation) next 3 years.

98 Annual Report | 2017-2018


Rational placement of trained providers at the
peripheral facilities for provision of regular family
planning services.
6.5.8 Quality assurance in family planning
Quality assurance in family planning services is the
decisive factor in acceptance and continuation of
contraceptive methods and services. The Hon’ble
Supreme Court of India in its Order dated 1.3.2005
in Civil Writ Petition No. 209/2003 (Ramakant Rai
V/s Union of India) has, inter alia, directed the Union
of India and States/UTs for ensuring enforcement
of Union Government’s Guidelines for conducting
sterilization procedures and norms for bringing out
uniformity with regard to sterilization procedures by:
• Creation of panel of Doctors/health facilities for
conducting sterilization procedures and laying
down of criteria for empanelment of doctors for
conducting sterilization procedures.
• Laying down of checklist to be followed by
every doctor before carrying out sterilization
procedure.
• Laying down of uniform proforma for obtaining
of consent of person undergoing sterilization.
• Setting up of Quality Assurance Committee for
ensuring enforcement of pre and postoperative
guidelines regarding sterilization procedures.
• Bringing into effect an insurance policy
uniformly in all States for acceptors of
sterilizations etc.
The Hon’ble Supreme Court has recently given
specific directions in its order dated 14.9.2016, to be
strictly followed by the Government of India, the State
Governments and Union Territories for delivering
quality family planning services in the country. The
key strategic actions to be undertaken under each of
the above directives along with the timeline have been
shared with all states and are as follows:
• Uploading the list of empanelled sterilization
providers and Quality Assurance Committee
members with their names and full particulars
in the State/UT website is to be linked to the
website of MoHFW, Government of India.
Chapter - 06
• Ensuring translation of the updated consent
forms and post-operative instruction cards in
the local language and clients are explained
about the procedure so that an informed consent
is obtained from them as per Government of
India guidelines.
• Preparation of the biannual report and QACs are
also to prepare an annual report card, depicting
statistical as well as non-statistical information
like meetings held, enquiries conducted,
remedial steps taken and achievement for the
year and upload the same on State/UT website
to be linked to the website of MOHFW,
Government of India.
• Phasing out sterilization camps over a period of
three years and provide services on fixed day
mode by strengthening Primary Health Care
Centres appropriately.
6.5.9 Other promotional schemes
Compensation scheme for acceptors of sterilization
• Government has been implementing a Centrally
Sponsored Scheme since 1981 to compensate
the acceptors of sterilization for the loss of
wages for the day on which he/she attended the
medical facility for undergoing sterilization.
This compensation scheme for acceptors of
sterilization services was revised with effect
from 31.10.2006 and has been further improved
with effect from 07.09.2007.
• In the light of the rise in cost of living, the
ever increasing transport cost which enables
a client to travel from his residence/village to
the nearest service centre, the prevalent high
wage compensation for the days requiring
recuperation as well as other incidental cost
the Government in 2014 had further approved
an enhancement in the current compensation
package for the 11 high focus States- Uttar
Pradesh, Bihar, Madhya Pradesh, Rajasthan,
Chhattisgarh, Jharkhand, Odisha, Uttarakhand,
Assam, Haryana and Gujarat. 
• The Government also launched the Mission
Parivar Vikas for 146 high fertility districts
where an attractive package was introduced.
Annual Report | 2017-2018 99
Chapter - 06

Compensation scheme in Public Facilities

States Type of Operation Acceptor ASHA/ Health Others Total

Worker
11 High focus States (UP, BH, VASECTOMY 2000 300 400 2700
MP, RJ, CG, JH, OD, UK, AS,
HR, GJ) TUBECTOMY 1400 200 400 2000

VASECTOMY 3000 400 600 4000

TUBECTOMY 2000 300 500 2800
TUBECTOMY (PPS) 3000 400 600 4000
Mission Parivar Vikas Districts
VASECTOMY 3000 400 1600 5000
(COT)
TUBECTOMY 2000 300 2200 4500
(COT)

Other High focus States (NE VASECTOMY 1100 200 200 1500
States, J&K, HP) TUBECTOMY 600 150 250 1000
VASECTOMY 1100 200 200 1500
TUBECTOMY 600 150 250 1000
Non High focus States
(BPL + SC/ ST only)
TUBECTOMY(APL) 250 150 250 650

Compensation scheme in Private Accredited Facilities

States Type of Operation Facility Others/ Total

Acceptor
11 High focus States (UP, BH, MP, RJ, VASECTOMY (ALL) 2000 1000 3000
CG, JH, OD, UK, AS, HR, GJ)
TUBECTOMY (ALL) 2000 1000 3000
Mission Parivar Vikas Districts VASECTOMY (All) 2500 1000 3500
TUBECTOMY (All) 2500 1000 3500
POST PARTUM 3000 1000 4000
STERILIZATION (PPS)
Other High focus States (NE States, VASECTOMY (ALL) 1300 200 1500
J&K, HP)
TUBECTOMY (ALL) 1350 150 1500
Non High focus States VASECTOMY (ALL) 1300 200 1500
TUBECTOMY (ALL) 1350 150 1500

100 Annual Report | 2017-2018


6.6 NATIONAL FAMILY PLANNING
INDEMNITY SCHEME (NFPIS)
With effect from, 01.04.2013, it has been decided
that States/UTs would process and make payment
of claims to acceptors of sterilization in the event
of death/failures/complications /Indemnity cover to
doctors/health facilities. The States/UTs would make
suitable budget provisions for implementation of the
scheme through their respective State/UT Program
Implementation Plans (PIPs) under the National Rural
Health Mission (NRHM) and the scheme is renamed
as “Family Planning Indemnity Scheme”.
Claims arising out of Sterilization Amount
Operation (Rs.)
A Death at hospital/ within seven 2,00,000
days of discharge
B Death following Sterilization 50,000
(8th – 30th day from discharge)
C Expenses for treatment of 25,000
Medical Complications
D Failure of Sterilization 30,000
E Doctors/facilities covered for 2,00,000
litigations up to 4 cases per year (per case)
including defense cost
The Hon’ble Supreme Court has given specific
directions in its order dated 14.09.2016, whereby the
quantum of compensation fixed under the FPIS has
been doubled, with the balance being paid from the
State health budget.
6.6.1 Scheme of Home delivery of contraceptives
by ASHAs at doorstep of beneficiaries
• Community based distribution of contraceptives
by involving ASHAs and focused IEC/BCC
efforts are undertaken for enhancing demand
and creating awareness on family planning.
To improve access to contraceptives by the
eligible couples, services of ASHA are utilised
to deliver contraceptives at the doorstep of
beneficiaries. The scheme has been rolled out
in all the districts of the country.
• Under HDC scheme, ASHAs are distributing
condoms, OCPs and ECPs in all States of India.
Chapter - 06
except Tamil Nadu, Puducherry and Himachal
Pradesh where ASHA structure is non-existent.
Contraceptive distribution in these three States
is being done by Anganwadi Workers and
ANMs.
6.6.2 Scheme for Ensuring Spacing at births
• Under the scheme, services of ASHAs to be
utilised for counselling newly married couples
to ensure spacing of 2 years after marriage and
couples with 1 child to have spacing of 3 years
after the birth of 1st child.
• The scheme was initially conceived for 18 States
– 8 EAG, 8 North East, Gujarat and Haryana
but in later years the spacing component of the
scheme was rolled out in few other States like
Karnataka, West Bengal, Maharashtra, Andhra
Pradesh, Punjab, Telangana and Daman & Diu.
Dadra and Nagar Haveli have also initiated the
implementation of the scheme (both spacing
and limiting components).
6.6.3 Celebration of World Population Day &
fortnight (July 11 – 24, 2017)
The event was observed over a month long period, split
into an initial fortnight of mobilization/ sensitization
followed by a fortnight of assured family planning
service delivery.
• June 27 to July 10, 2017: “Dampati Sampark
Pakhwada” or “Mobilisation Fortnight” was
organised.
• July 11 to July 24, 2017: “Jansankhya Sthirtha
Pakhwada” or “Population Stabilisation
Fortnight” was organised.
The National level workshop on World Population
Day was celebrated in collaboration with Jansankhya
Sthirata Kosh (JSK) at Vigyan Bhavan. The workshop
in Vigyan Bhavan on “Parivar Niyojan-Sashakt
Samaj, Rashtra ka Vikas” was presided over by the
Hon’ble Union Minister of Health & Family Welfare,
Shri J.P.Nadda and Union Minister of State for Health
& Family Welfare, Ms. Anupriya Patel.
The day marked a series of launches, with the family
planning division endeavouring towards promoting
good reproductive health practices of the masses.
Annual Report | 2017-2018 101
Chapter - 06
• Mission Parivar Vikas: A programme launched
in 146 high TFR districts to accelerate the use
and awareness of family planning methods.
State and district fact sheets were unveiled
at the occasion. The fact sheets highlight the
current indicators and trends in these districts
and will act as the baseline and roadmap for
future work in these districts.
• New Contraceptives Launch: The new
contraceptive Injectable MPA under “Antara
Hon’ble Union Minister for Health & Family Welfare Shri J.P. Nadda distributing awards to children - winners of
painting competition on World Population Day 2017
culture of the target audience and bring about a
positive change in the use of contraception and
shattering the myths around it.
• Family Planning Logistic Information
System (FP-LMIS): The new commodity
tracking software called FP-LIMS was launched
to ensure commodity tracking and a smooth
delivery system. The software assures to solve
any gap in the commodity delivery system and
bridge in any gaps.
The inaugural session of the workshop also witnessed
prize distribution by the Hon’ble Union Minister
of Health & Family Welfare, Shri J. P. Nadda and
Minister of State for Health & Family Welfare, Ms.
102 Annual Report | 2017-2018
Programme” and Oral contraceptive pill
Centchroman “CHHAYA” have been added to
the existing contraceptive basket of choice thus
providing users with new options.
• Media Campaign Phase 2: The Ministry of
Health and Family Welfare launched the phase 2
of the media campaign. A multimedia campaign
was designed with an objective to reaching out
to people of all age groups, regions and strata
of the society. The idea was to resonate with the
Anupriya Patel to school children who brought laurels
to their schools by winning prizes in the painting
competition organized by Jansankhya Sthirata Kosh.
The inaugural session was followed by a panel
discussion which was led by Dr R.K. Vats, AS and
DG (CGHS). The panel comprised of experts – Dr.
S.K. Sikdar, Dr. Rishma Dhillon Pai, Dr. J. K. Das,
Mr. Diego Palacios (UNFPA), Mr. Alkesh Wadhwani
(BMGF), Ms. Marietou Satin (USAID) and Ms. Preeti
Nath – who presided over the discussion.
Services Rendered during World Population
Fortnights
The overall performance during the fortnight (11th –
24th July, 2017) is as follows:

Sl. No. Method
1 Female Sterilization
2 Male Sterilization
Total Sterilization
3 IUCD Insertions
4 PPIUCD Insertions
*Note: Andaman and Nicobar Island and Lakshadweep have not submitted the report.
Some States extended their service provision days
further. The States of Assam and Bihar extended their
services till 31st July, 2017 and Jharkhand till 16th
August. The total sterilizations that took place during
the WPD fortnight are 1.55 lakhs of which female
sterilizations account for 1.49 lakhs and there were
5973 male sterilizations. The increase in PPIUCD
has been on the increasing side with 85,756 insertions
being reported this year.
In female sterilization, Bihar reported the highest
performance, with 22392 female sterilizations,
followed by West Bengal (16892) and Odisha
(12650). West Bengal (1135) reported the highest
male sterilization followed by Chhattisgarh (994) and
Assam (888).
The total IUCD’s (Interval and PPIUCD) inserted
were 391108 of which Interval IUCD insertions are
314545 and PPIUCD insertions are 76563.The highest
Interval IUCD insertions were reported in West
Bengal (61465) followed by Uttar Pradesh (44334)
and Assam (34599). The PPIUCD insertions were
reported to be the highest in Uttar Pradesh (15023),
West Bengal (13245) and Bihar (10472).
6.6.4 Observation of Vasectomy Fortnight
(November 21 – December 4, 2017)
The Vasectomy Fortnight was observed for a fortnight
across the country. The fortnight was split into two
phases:
• “Mobilisation Phase” between 21st November
to 27th November, 2017
• “Service Delivery Phase” between 28th
November - 4th December, 2017
Chapter - 06
2015 2016 2017*
1,42,372 1,45,372 1,49,315
6,035 7,101 5,973
1,48,407 1,52,106 1,55,288
3,51,444 3,74,880 3,25,321
43,829 72,433 85756
The theme for vasectomy fortnight this year was:
“Zimmedar Purush ki yehi hai Pehchan,
Parivar Niyojan mein jo de Yogdaan”
^^ftEesnkj iq#"k dh ;gh gS igpku]
ifjokj fu;kstu esa tks ns ;ksxnku¸
A National Workshop on promotion of male
participation in Family Planning was held on 16th
November, 2017 under the chairmanship of Ms.
Vandana Gurnani, JS (RCH), with the aim to strengthen
the advocacy on male engagement in family planning
– wherein opportunities and strategies to engage men
holistically as change makers, responsible partners,
allies, torchbearers of transformation and gatekeepers
of their families were deliberated upon with the active
participation of close to 150 participants from various
International agencies, Development Partners, Civil
Society and officials and NSV surgeons from the State
Government.
The Vasectomy fortnight was observed by all the
States/UT for creating awareness on male participation
under FP Programme, generating demand and
providing Family Planning services. Mobility
publicity vans were arranged at various levels for
demand generation activities. Sensitization meetings
were held at the district and block levels to generate
awareness and address the myths and misconceptions
related to vasectomy. Health centres were identified in
the districts and dedicated team of doctors and nurses
were present for the entire fortnight to render FP
services. Private accredited providers were also roped
in for service provision during the fortnight.
Annual Report | 2017-2018 103
Chapter - 06

Services Rendered during Vasectomy Fortnight

The overall performance* during the fortnight (21st November - 4th December, 2017) is as follows:-

Sl.N. Method 2016 2017

1 Number of facilities providing vasectomy services during the service 2623 3129
delivery week
Number of vasectomies conducted during the service delivery week 8083 10,804
2 Total number of condom boxes installed during the service delivery - 56,241
week
Number of condom pieces distributed during the service delivery 36,09,962 53,17,121
week
* Note: - Based on Reports received from 27 States.

10,804 vasectomies were done during the NSV fortnight 2017, an increase of 30% over the last year’s performance.
Chhattisgarh recorded the maximum vasectomies with 2469 vasectomies, followed by Maharashtra (1968)
and Assam (1350). 53,17,121 condom pieces were distributed during the vasectomy week 2017. West Bengal
distributed the highest number of condom pieces at 12,99,244 followed by Maharashtra (7,15,138), Punjab
(5,71,341) and Rajasthan (4,96,971).

104 Annual Report | 2017-2018

 Chapter - 06

Annexure - 1
Number Sterilisations and IUCDs by States 2017-18 (Up to December)

States Female Male Total IUCD

Sterilisation Sterilisation Sterilisation
Bihar 2,28,980 1274 2,30,254 2,12,281
Chhattisgarh 30,920 5,988 36,908 69,794
Himachal Pradesh 3,140 172 3312 10,766
Jammu & Kashmir 6,601 140 6747 12,961
Jharkhand 27,455 859 28,314 57,019
Madhya Pradesh 1,73,307 1,973 1,75,280 1,72,720
Odisha 41,607 534 42,141 63,030
Rajasthan 31,379 642 30,737 24,290
Uttar Pradesh 1,22,090 3461 33,213 5,15,516
Uttarakhand 5,378 304 5,672 33,733
Arunachal Pradesh 680 1 679 1,708
Assam 24,447 2,264 26,711 65,014
Manipur 525 44 525 2,595
Meghalaya 1,806 8 1,814 2,587
Mizoram 595 0 595 975
Nagaland 1,214 5 1,219 3,223
Sikkim 81 4 85 446
Tripura 1,197 12 1197 747
Andhra Pradesh 1,34,790 986 1,35,776 55,080
Goa 1,565 4 1,569 670
Gujarat 1,67,332 1,653 1,68,985 3,83,801
Haryana 28,774 1,183 29,957 76,752
Karnataka 2,22,130 65 2,22,786 1,00,698
Kerala 23,264 29 23,557 17,897
Maharashtra 2,78,380 1,973 2,87,222 2,07,491
Punjab 26,965 819 27,784 91,246
Telangana 50,104 3101 53,205 14,339
Tamil Nadu 1,61,960 400 1,62,360 2,00,964
West Bengal 1,11,119 3,326 1,14,445 1,86,529
A & N Islands 215 0 215 70
Chandigarh 1,671 20 1,691 1,938
Dadra & Nagar Haveli 925 6 931 251
Daman & Diu 211 0 211 86
Delhi 10,591 335 10,926 25,405
Lakshadweep 31 0 31 7
Puducherry 4,761 4 4,765 871
TOTAL 19,26,339 39,323 19,65,662 2613590

Source: HMIS

Annual Report | 2017-2018 105

Chapter - 06

6.7 procurement and supply of remaining quantities, open tenders are advertised for
CONTRACEPTIVES procurement from private firms.
The Department of Health and Family Welfare is
responsible for implementation of the National Family
Welfare Programme by, inter-alia, encouraging the
utilization of contraceptives and distribution of the
same to the States/UTs under Free Supply Scheme
and Public-Private Partnership (PPP) under Social
Marketing Scheme. Under Free Supply Scheme,
contraceptives such as Condoms, Oral Contraceptive
Pills, Intra Uterine Device (Cu-T), Emergency
Contraceptive Pills and Tubal Rings are procured
and supplied free to the States/UTs. Injectable
Contraceptive (Antara Programme) and Centchroman
Contraceptive Pill viz. Chhaya have been introduced
in 2016-17 in Free Supply Scheme.
Procurement procedures: Orders for 75% of the
requirement in case of condoms and 55% of requirement
for other contraceptives are placed on HLL Lifecare
Ltd. (a PSU under the Ministry of Health & FW) for
procurement of contraceptives being manufactured by
them as per captive status awarded to them. For the
Quality Assurance: Manufacturers do in-house
testing of stores before offering them for inspection. At
the time of acceptance of stores, random samples from
all the batches are picked up and tested in certified lab
and in receipt of ok reports, stores are supplied to the
consignees.
6.7.1 Free Supply Scheme: Under Free Supply
Scheme, contraceptives viz. Condoms, Oral
Contraceptives Pills (OCPs) (Mala-N), Intra Uterine
Device (Copper-T), Tubal Rings, Emergency
Contraceptive Pills (ECPs), Injectable Contraceptive,
Centchroman Contraceptive Pill, Pregnancy Testing
Kits (PTKs) are procured and supplied to the States
with the objective of making them available free of
cost to those who cannot afford to pay for it. These are
supplied free of cost to the users through dispensaries,
hospitals, PHCs, Sub Centres etc.
The following quantities of contraceptives were
procured for supply to States during 2016-17
(Including CMSS) and 2017-18:

Item 2016-17 2017-18 *

(Including CMSS) (up to Aug. 2017)
Quantity Value Quantity Value
(Rs. in Crore) (Rs. in Crore)
Condoms (Free Supply) (Million Pieces) 432.82 69.29 206.37 32.92
OCPs (Free Supply) (Lakh Cycles) 311.98 12.15 106.30 04.04
*Figures are Provisional

Item 2016-17 (Including CMSS) 2017-18 *

(up to Aug. 2017)
Quantity Value Quantity Value
(Rs. in Crore) (Rs. in Crore)
Copper – T (Lakh pcs.) 48.11 8.00 11.31 02.71
(IUD 380A, IUD 375)
Tubal Ring (Lakh Pairs) 6.39 01.06 1.28 00.22
ECP (Lakh Packs) 60.83 00.89 12.33 00.27
Centchroman Contraceptive Pill (Lakh Strips) 7.13 1.78 19.00 04.56
Injectable Contraceptive (Lakh doses) -- -- 27.00 07.43
PT Kits (Lakh Kits) 124.60 5.00 44.25 01.77
*Figures are Provisional

106 Annual Report | 2017-2018

 Chapter - 06

6.7.2 Social Marketing Scheme Presently, one Government brand (Deluxe Nirodh) and
12 different SMOs brands of condoms (i.e. Rakshak,
The National Family Welfare Programme initiated the Ustad, Josh, Mithun, Style, Thril, Kamagni, Sawan,
Social Marketing Programme of Condoms in 1968 and Milan, Bliss, Ahsaas and KLY-MAX) are sold in the
that of Oral Pills in 1987. On the advice of Planning market through SMOs. Similarly for Oral Pills, one
Commission (Now NITI Aayog) and Ministry of Government brand (Mala-D) and seven SMOs brands
Finance, a study was conducted by UNFPA to evaluate of Pills (i.e. Arpan, Pearl, Ecroz, Sunehri, Apsara,
the Social Marketing Scheme which submitted the Khushi and Smartt Cycle) are sold.
report in December, 2015. The recommendations of
UNFPA were examined in the Ministry and the Social SMOs have sold the following quantities during 2016-
Marketing Programme was rejuvenated. The price 17 & 2017-18 (upto June/Sept. 2017):
of the SMO brand contraceptives i.e Deluxe Nirodh
(Govt. Brand) was revised from Rs. 3/- for a pack of 5 Sale of Condoms (Quantity in Mpcs.)
pieces to Rs.5/- for a pack of 5 pieces and SMO brand Sl. Social Marketing 2016-17 2017-18
condoms from Rs. 2.00 for one piece to a maximum of No. Organization (Provisional)
Rs. 3.33 per piece ( Rs. 10.00 for a pack of 3 pieces).
The price of the oral pills of Govt. Brand and SMO 1. HLL Lifecare Ltd, 354.00 37.97*
brand has also been revised i.e. Mala –D (Govt. Brand) Thiruvananthapuram
from Rs.3.00 per cycle to Rs. 5.00 per cycle while the 2. Parivar Seva Sanstha, 00.00 00.00
SMO brand price range was retained at a maximum Delhi
price of Rs. 10.00 per cycle. SMOs have the flexibility 3. Janani, Patna 08.00 4.70*
to fix the price of branded condoms and OCPs within 4. Population Health 35.00 7.60**
the range fixed by the Government. Condoms and services (I)
Oral Pills are made available to the people at highly Hyderabad
subsidized rates, through diverse outlets. Promotional
and Packaging incentives which were being 5. PCPL, Kolkata 00.00 NR
reimbursed to the SMOs has been withdrawn after 6. World Health Partner 2.00 NR
revision of prices of Condoms and Oral Contraceptive Total 399.00 50.27
Pills (OCPs). The issue price of both condom and
OCP has been retained at Rs.0.40 per condom and *Upto June, 2017
Rs.1.60 per cycle of OCPs. The SMOs are required **Upto September, 2017
to be remit 35% advance payment to the Government
before placement of indent for the value of quantity of Sale of Oral Contraceptive Pills (Quantity in Lakh
stock intended by them and the balance 65% payment Cycles)
shall be remitted in the form of bank guarantee at the
Sl. Social Marketing 2016-17 2017-18 *
time of remitting 35% payment. The balance 65%
No. Organisation (up to Aug.
amount of the issue price of both Condom and Oral
2017)
Contraceptive Pills for which bank guarantee was given
1 HLL Lifecare Ltd., 139.61 15.78
by SMOs should be paid by the SMO to Government
Thiruvananthapuram
by Demand Draft at the time of issue of release orders
to reduced financial burden on them. The agreements 2 Parivar Seva Sanstha, Delhi 5.52 NR
with the SMOs are now signed for a period of three 3 Janani, Patna 4.77 10.62
years to facilitate SMOs to plan their activities for a 4 Population Health services, 41.00 6.00
longer period. The extent of subsidy ranges from 70% Hyderabad
to 85% depending upon the procurement price in a 5 PCPL, Kolkata NR NR
given year. Both these contraceptives are distributed 6 World Health Partner, New 3.38 NR
through Social Marketing Organizations (SMOs). Delhi
There are presently seven SMOs registered viz. HLL Total 194.28 32.40
Lifecare Ltd., PHS(I), PCPL, Janani, PSS, World
Health Partner and DKT (I) (Recently registered). *Figures are Provisional

Annual Report | 2017-2018 107

Chapter - 06

6.7.3 Centchroman (Oral Pills) 6.8 Central Medical Supplies

Society (CMSS)
Since December, 1995, a non-steroidal weekly Oral
Contraceptive Pill, Centchroman (Popularly known as With a view to assure procurement and distribution
Saheli & Novex), to prevent pregnancy is also being of supplies in time, the government has now set up
subsidized under the Social Marketing Programme. an autonomous agency viz. Central Medical Supplies
The weekly Oral pill is the result of indigenous research Society (CMSS) whose sole responsibility would be
of CDRL, Lucknow. The pill is now available in the to ensure uninterrupted supplies of commodities in the
market at Rs. 3.125 per tablet (Rs. 25/- per strip of 8 States. This agency would be able to cut the proverbial
tablets). The Government of India provides a subsidy bureaucratic tape by laying down a firm procurement
of Rs. 2.51 per tablet towards product and promotional and distribution system in the country, thereby
subsidy. transforming the committed goals into a reality. A
statement showing the quantities of contraceptives
Performance of Social Marketing Programme in procured from private manufacturers during 2016-17
the sale of contraceptives and 2017-18 (upto August, 2017) by CMSS alongwith
the indent for 2017-18 is given below:
Item 2016-17 2017-18 *
(up to Aug.
2017)
Condoms (Million Pieces) 399.00 50.27
Oral Pills(Social 194.28 32.40
Marketing) (Lakh Cycles)
SAHELI (Lakh Tablets) 321.76 0.04160
*: Figures are Provisional

Sl. Item Quantity Quantity Quantity Value (Rs. in

No. Procured Indented Procured in Crore) for
in 2016-17 for 2017-18 2017-18 up to procurement upto
August, 2017* August, 2017
1. Condoms (Million Pieces)
Free Supply 155.13 137.58 114.11 18.22
SMO Brand 113.50 277.75 314.13 47.06
Free Supply for NACO 56.42 39.40 68.04 10.75
2. OCP (Lakh Cycles)
Free Supply 139.21 115.96 141.39 05.37
SMO Brand 36.90 147.60 82.83 03.42
3. EC Pills (Lakh Packs) 56.64 20.18 25.78 00.57
4. IUCDs/Copper–T (in Lakh Pieces) 44.34 18.50 -- --
5. Tubal Rings (in Lakh Pairs) 6.39 2.09 9.92 01.72
6. Pregnancy Test Kits (PTK) (in 46.04 72.41 91.91 03.69
Lakh Pieces /Kits)
*Figures are Provisional

108 Annual Report | 2017-2018